<!DOCTYPE html>
<html dir="ltr" lang="en">
<head>
<meta charset="UTF-8" />
<title>Checkout - Polishop eCommerce HTML Template</title>
<link href="image/favicon.png" rel="icon" />
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
<meta name="description" content="clean modern and elegant corporate look eCommerce html template">
<meta name="author" content="">
<!-- CSS Part Start-->
<link rel="stylesheet" type="text/css" href="css/stylesheet.css" />
<link rel="stylesheet" type="text/css" href="css/slideshow.css" media="screen" />
<link rel="stylesheet" type="text/css" href="css/flexslider.css" media="screen" />
<link rel="stylesheet" type="text/css" href="js/colorbox/colorbox.css" media="screen" />
<link rel="stylesheet" type="text/css" href="css/carousel.css" media="screen" />
<!-- CSS Part End-->
<!-- JS Part Start-->
<script type="text/javascript" src="js/jquery-1.7.1.min.js"></script>
<script type="text/javascript" src="js/jquery.nivo.slider.pack.js"></script>
<script type="text/javascript" src="js/jquery.flexslider.js"></script>
<script type="text/javascript" src="js/jquery.easing-1.3.min.js"></script>
<script type="text/javascript" src="js/jquery.jcarousel.min.js"></script>
<script type="text/javascript" src="js/colorbox/jquery.colorbox-min.js"></script>
<script type="text/javascript" src="js/tabs.js"></script>
<script type="text/javascript" src="js/cloud_zoom.js"></script>
<script type="text/javascript" src="js/jquery.dcjqaccordion.js"></script>
<script type="text/javascript" src="js/custom.js"></script>
<script type="text/javascript" src="js/html5.js"></script>
<!-- JS Part End-->
<!-- Google Fonts (Droid Sans) Start -->
<link href='http://fonts.googleapis.com/css?family=Droid+Sans&amp;v1' rel='stylesheet' type='text/css'>
<link href='http://fonts.googleapis.com/css?family=&amp;v1' rel='stylesheet' type='text/css'>
<!-- Google Fonts (Droid Sans) End -->
</head>
<body>
<div class="wrapper-box">
  <div class="main-wrapper">
    <!--Header Part Start-->
    <header id="header">
      <div class="htop">
        <div id="language"> <span>Language<b></b></span>
          <ul>
            <li><a title="English"><img src="image/flags/gb.png" alt="English" />English</a></li>
            <li><a title="Türkçe"><img src="image/flags/tr.png" alt="Türkçe" />Türkçe</a></li>
          </ul>
        </div>
        <div id="currency"> <span>Currency<b></b></span>
          <ul>
            <li> <a title="Euro">€ - Euro</a> </li>
            <li> <a title="Pound Sterling">£ - Pound Sterling</a> </li>
            <li> <a title="US Dollar"><b>$ - US Dollar</b></a> </li>
          </ul>
        </div>
        <div class="links"> <a href="login.html">Login</a> <a href="register.html">Register</a> <a href="#" id="wishlist-total">Wish List (0)</a> <a href="#">My Account</a> <a href="checkout.html">Checkout</a> </div>
      </div>
      <section class="hsecond">
        <div id="logo"><a href="index-2.html"><img src="image/logo.png" title="Polishop" alt="Polishop" /></a></div>
        <div id="search">
          <div class="button-search"></div>
          <input type="text" name="search" placeholder="Search" value="" />
        </div>
        <!--Mini Shopping Cart Start-->
        <section id="cart">
          <div class="heading">
            <h4><img width="32" height="32" alt="" src="image/cart-bg.png"></h4>
            <a><span id="cart-total">2 item(s) - $710.18</span></a> </div>
          <div class="content">
            <div class="mini-cart-info">
              <table>
                <tr>
                  <td class="image"><a href="product.html"><img src="image/product/lotto-sports-shoes-white-47x47.jpg" alt="Lotto Sports Shoes" title="Lotto Sports Shoes" /></a></td>
                  <td class="name"><a href="product.html">Lotto Sports Shoes</a></td>
                  <td class="quantity">x&nbsp;1</td>
                  <td class="total">$589.50</td>
                  <td class="remove"><img src="image/remove-small.png" alt="Remove" title="Remove" /></td>
                </tr>
                <tr>
                  <td class="image"><a href="product.html"><img src="image/product/iphone_1-47x47.jpg" alt="iPhone 4s" title="iPhone 4s" /></a></td>
                  <td class="name"><a href="product.html">iPhone 4s</a></td>
                  <td class="quantity">x&nbsp;1</td>
                  <td class="total">$120.68</td>
                  <td class="remove"><img src="image/remove-small.png" alt="Remove" title="Remove" /></td>
                </tr>
              </table>
            </div>
            <div class="mini-cart-total">
              <table>
                <tr>
                  <td class="right"><b>Sub-Total:</b></td>
                  <td class="right">$601.00</td>
                </tr>
                <tr>
                  <td class="right"><b>Eco Tax (-2.00):</b></td>
                  <td class="right">$4.00</td>
                </tr>
                <tr>
                  <td class="right"><b>VAT (17.5%):</b></td>
                  <td class="right">$105.18</td>
                </tr>
                <tr>
                  <td class="right"><b>Total:</b></td>
                  <td class="right">$710.18</td>
                </tr>
              </table>
            </div>
            <div class="checkout"><a class="button" href="cart.html">View Cart</a> &nbsp; <a class="button" href="checkout.html">Checkout</a></div>
          </div>
        </section>
        <!--Mini Shopping Cart End-->
        <div class="clear"></div>
      </section>
      <!--Top Menu(Horizontal Categories) Start-->
      <nav id="menu">
        <ul>
          <li class="home"><a title="Home" href="index-2.html"><span>Home</span></a></li>
          <li class="categories_hor"><a>Categories</a>
            <div>
              <div class="column"> <a href="category.html">Electronics</a>
                <div>
                  <ul>
                    <li><a href="category.html">Laptops (0)</a></li>
                    <li><a href="category.html">Desktops (0)</a></li>
                    <li><a href="category.html">Components (1)</a></li>
                    <li><a href="category.html">Software (1)</a></li>
                    <li><a href="category.html">Phones &amp; PDAs (4)</a></li>
                    <li><a href="category.html">Cameras (2)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Jewellery</a>
                <div>
                  <ul>
                    <li><a href="category.html">Children's Jewellery (0)</a></li>
                    <li><a href="category.html">Men's Jewellery (1)</a></li>
                    <li><a href="category.html">Women's Jewellery (0)</a></li>
                    <li><a href="category.html">Sample Test (0)</a></li>
                    <li><a href="category.html">Sample Test11 (0)</a></li>
                    <li><a href="category.html">Sample Test12 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Shoes</a>
                <div>
                  <ul>
                    <li><a href="category.html">Children's Shoes (1)</a></li>
                    <li><a href="category.html">Men's Shoes (2)</a></li>
                    <li><a href="category.html">Women's Shoes (1)</a></li>
                    <li><a href="category.html">Test Sample (0)</a></li>
                    <li><a href="category.html">Test Sample1 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Clothing</a>
                <div>
                  <ul>
                    <li><a href="category.html">Men (1)</a></li>
                    <li><a href="category.html">Women (1)</a></li>
                    <li><a href="category.html">Boys (0)</a></li>
                    <li><a href="category.html">Girls (0)</a></li>
                    <li><a href="category.html">Accessories (0)</a></li>
                    <li><a href="category.html">Sample Test21 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Kids</a>
                <div>
                  <ul>
                    <li><a href="category.html">Toys Kids (0)</a></li>
                    <li><a href="category.html">Games (1)</a></li>
                    <li><a href="category.html">Sample Test22 (0)</a></li>
                    <li><a href="category.html">Sample Test15 (1)</a></li>
                    <li><a href="category.html">Sample Kids (1)</a></li>
                    <li><a href="category.html">Sample Test6 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Watches</a>
                <div>
                  <ul>
                    <li><a href="category.html">Women's Watches (1)</a></li>
                    <li><a href="category.html">Men's Watches (0)</a></li>
                    <li><a href="category.html">Children's Watches (1)</a></li>
                    <li><a href="category.html">Sample16 (0)</a></li>
                    <li><a href="category.html">Sample17 (0)</a></li>
                    <li><a href="category.html">test 18 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Sports</a>
                <div>
                  <ul>
                    <li><a href="category.html">Women's Sports (1)</a></li>
                    <li><a href="category.html">Children's Sports (0)</a></li>
                    <li><a href="category.html">Men's Sports (1)</a></li>
                    <li><a href="category.html">test 7 (0)</a></li>
                    <li><a href="category.html">Sample 8 (0)</a></li>
                    <li><a href="category.html">test 9 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Health</a>
                <div>
                  <ul>
                    <li><a href="category.html">Sample Test1 (1)</a></li>
                    <li><a href="category.html">Sample Test2 (0)</a></li>
                    <li><a href="category.html">test 20 (0)</a></li>
                    <li><a href="category.html">test 21 (0)</a></li>
                    <li><a href="category.html">test 22 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Furniture</a>
                <div>
                  <ul>
                    <li><a href="category.html">Bedrooms Furniture (0)</a></li>
                    <li><a href="category.html">Kidsrooms furniture (0)</a></li>
                    <li><a href="category.html">Kitchen Furniture (1)</a></li>
                    <li><a href="category.html">Showcase Furniture (0)</a></li>
                    <li><a href="category.html">Table Furniture (1)</a></li>
                    <li><a href="category.html">Wall Furniture (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"><a href="category.html">Books</a>
                <div>
                  <ul>
                    <li><a href="category.html">Audio Books (1)</a></li>
                    <li><a href="category.html">Comedy Book (1)</a></li>
                    <li><a href="category.html">Comics Books (0)</a></li>
                    <li><a href="category.html">Computer Book (1)</a></li>
                    <li><a href="category.html">Cookies Books (0)</a></li>
                    <li><a href="category.html">English Books (1)</a></li>
                  </ul>
                </div>
              </div>
            </div>
          </li>
          <li><a target="_blank" href="#">Headers</a>
            <div>
              <ul>
                <li><a href="index-2.html">Header Style 1</a></li>
                <li><a href="header-footer-2.html">Header Style 2</a></li>
                <li><a href="header-footer-3.html">Header Style 3</a></li>
              </ul>
            </div>
          </li>
          <li><a target="_blank" href="#">Menus</a>
            <div>
              <ul>
                <li><a href="index-2.html">Horizontal Categories</a></li>
                <li><a href="header-footer-2.html">Vertical Categories</a></li>
                <li><a href="header-footer-3.html">Simple Categories</a></li>
              </ul>
            </div>
          </li>
          <li><a target="_blank" href="#">Sliders</a>
            <div>
              <ul>
                <li><a href="index-2.html">Nivo Slider</a></li>
                <li><a href="header-footer-2.html">Flex Slider</a></li>
              </ul>
            </div>
          </li>
          <li><a target="_blank" href="#">Footers</a>
            <div>
              <ul>
                <li><a href="index-2.html">Footer Style 1</a></li>
                <li><a href="header-footer-2.html">Footer Style 2</a></li>
                <li><a href="header-footer-3.html">Footer Style 3</a></li>
              </ul>
            </div>
          </li>
          <li><a href="#">Custom Block</a>
            <div class="custom_block">
              <ul>
                <li>
                  <table border="0" cellpadding="0" cellspacing="0" style="width: 500px;">
                    <tbody>
                      <tr>
                        <td><h3>You can insert any content here.</h3>
                          <p>&nbsp;</p></td>
                      </tr>
                      <tr>
                        <td><strong><img alt="responsive" src="image/product/responsive.jpg" style="width: 250px; height: 150px; border-width: 0px; border-style: solid; float: left; margin-left: 10px; margin-right: 10px;" />Lorem Ipsum</strong> is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing.</td>
                      </tr>
                    </tbody>
                  </table>
                </li>
              </ul>
            </div>
          </li>
          <li><a>My Account</a>
            <div>
              <ul>
                <li><a href="#">My Account</a></li>
                <li><a href="#">Order History</a></li>
                <li><a href="#" id="wishlist-total">Wish List (0)</a></li>
                <li><a href="#">Newsletter</a></li>
              </ul>
            </div>
          </li>
          <li><a>Information</a>
            <div>
              <ul>
                <li><a href="about-us.html">About Us</a></li>
                <li><a href="about-us.html">Delivery Information</a></li>
                <li><a href="about-us.html">Privacy Policy</a></li>
                <li><a href="elements.html">Elements</a></li>
              </ul>
            </div>
          </li>
          <li><a href="contact-us.html">Contact Us</a></li>
        </ul>
      </nav>
      <!--Top Menu(Horizontal Categories) End-->
      <!-- Mobile Menu Start-->
      <nav id="menu" class="m-menu"> <span>Menu</span>
        <ul>
          <li class="categories"><a>Categories</a>
            <div>
              <div class="column"> <a href="category.html">Electronics</a>
                <div>
                  <ul>
                    <li><a href="category.html">Laptops (0)</a></li>
                    <li><a href="category.html">Desktops (0)</a></li>
                    <li><a href="category.html">Components (1)</a></li>
                    <li><a href="category.html">Software (1)</a></li>
                    <li><a href="category.html">Phones &amp; PDAs (4)</a></li>
                    <li><a href="category.html">Cameras (2)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Jewellery</a>
                <div>
                  <ul>
                    <li><a href="category.html">Children's Jewellery (0)</a></li>
                    <li><a href="category.html">Men's Jewellery (1)</a></li>
                    <li><a href="category.html">Women's Jewellery (0)</a></li>
                    <li><a href="category.html">Sample Test (0)</a></li>
                    <li><a href="category.html">Sample Test11 (0)</a></li>
                    <li><a href="category.html">Sample Test12 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Shoes</a>
                <div>
                  <ul>
                    <li><a href="category.html">Children's Shoes (1)</a></li>
                    <li><a href="category.html">Men's Shoes (2)</a></li>
                    <li><a href="category.html">Women's Shoes (1)</a></li>
                    <li><a href="category.html">Test Sample (0)</a></li>
                    <li><a href="category.html">Test Sample1 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Clothing</a>
                <div>
                  <ul>
                    <li><a href="category.html">Men (1)</a></li>
                    <li><a href="category.html">Women (1)</a></li>
                    <li><a href="category.html">Boys (0)</a></li>
                    <li><a href="category.html">Girls (0)</a></li>
                    <li><a href="category.html">Accessories (0)</a></li>
                    <li><a href="category.html">Sample Test21 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Kids</a>
                <div>
                  <ul>
                    <li><a href="category.html">Toys Kids (0)</a></li>
                    <li><a href="category.html">Games (1)</a></li>
                    <li><a href="category.html">Sample Test22 (0)</a></li>
                    <li><a href="category.html">Sample Test15 (1)</a></li>
                    <li><a href="category.html">Sample Kids (1)</a></li>
                    <li><a href="category.html">Sample Test6 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Watches</a>
                <div>
                  <ul>
                    <li><a href="category.html">Women's Watches (1)</a></li>
                    <li><a href="category.html">Men's Watches (0)</a></li>
                    <li><a href="category.html">Children's Watches (1)</a></li>
                    <li><a href="category.html">Sample16 (0)</a></li>
                    <li><a href="category.html">Sample17 (0)</a></li>
                    <li><a href="category.html">test 18 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Sports</a>
                <div>
                  <ul>
                    <li><a href="category.html">Women's Sports (1)</a></li>
                    <li><a href="category.html">Children's Sports (0)</a></li>
                    <li><a href="category.html">Men's Sports (1)</a></li>
                    <li><a href="category.html">test 7 (0)</a></li>
                    <li><a href="category.html">Sample 8 (0)</a></li>
                    <li><a href="category.html">test 9 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Health</a>
                <div>
                  <ul>
                    <li><a href="category.html">Sample Test1 (1)</a></li>
                    <li><a href="category.html">Sample Test2 (0)</a></li>
                    <li><a href="category.html">test 20 (0)</a></li>
                    <li><a href="category.html">test 21 (0)</a></li>
                    <li><a href="category.html">test 22 (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"> <a href="category.html">Furniture</a>
                <div>
                  <ul>
                    <li><a href="category.html">Bedrooms Furniture (0)</a></li>
                    <li><a href="category.html">Kidsrooms furniture (0)</a></li>
                    <li><a href="category.html">Kitchen Furniture (1)</a></li>
                    <li><a href="category.html">Showcase Furniture (0)</a></li>
                    <li><a href="category.html">Table Furniture (1)</a></li>
                    <li><a href="category.html">Wall Furniture (0)</a></li>
                  </ul>
                </div>
              </div>
              <div class="column"><a href="category.html">Books</a>
                <div>
                  <ul>
                    <li><a href="category.html">Audio Books (1)</a></li>
                    <li><a href="category.html">Comedy Book (1)</a></li>
                    <li><a href="category.html">Comics Books (0)</a></li>
                    <li><a href="category.html">Computer Book (1)</a></li>
                    <li><a href="category.html">Cookies Books (0)</a></li>
                    <li><a href="category.html">English Books (1)</a></li>
                  </ul>
                </div>
              </div>
            </div>
          </li>
        </ul>
      </nav>
      <!-- Mobile Menu End-->
    </header>
    <!--Header Part End-->
    <div id="container">
      <!--Middle Part Start-->
      <div id="content">
        <!--Breadcrumb Part Start-->
        <div class="breadcrumb"> <a href="index-2.html">Home</a> » <a href="#">Shopping Cart</a></div>
        <!--Breadcrumb Part End-->
        <h1>Checkout</h1>
        <div class="checkout">
          <div class="checkout-heading">Step 1: Checkout Options</div>
          <div class="checkout-content" style="display: block;">
            <div class="left">
              <h2>New Customer</h2>
              <p>Checkout Options:</p>
              <label for="register">
                <input type="radio" checked="checked" id="register" value="register" name="account">
                <b>Register Account</b></label>
              <br>
              <label for="guest">
                <input type="radio" id="guest" value="guest" name="account">
                <b>Guest Checkout</b></label>
              <br>
              <br>
              <p>By creating an account you will be able to shop faster, be up to date on an order's status, and keep track of the orders you have previously made.</p>
              <input type="button" class="button" id="button-account" value="Continue">
              <br>
              <br>
            </div>
            <div class="right" id="login">
              <h2>Returning Customer</h2>
              <p>I am a returning customer</p>
              <b>E-Mail:</b><br>
              <input type="text" value="" name="email">
              <br>
              <br>
              <b>Password:</b><br>
              <input type="password" value="" name="password">
              <br>
              <a href="#">Forgotten Password</a><br>
              <br>
              <input type="button" class="button" id="button-login" value="Login">
              <br>
              <br>
            </div>
          </div>
        </div>
        <div class="checkout">
          <div class="checkout-heading">Step 2: Account & Billing Details</div>
          <div class="checkout-content">
            <table class="form">
              <tbody>
                <tr>
                  <td><span class="required">*</span> First Name:</td>
                  <td><input type="text" class="large-field" value="" name="firstname"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Last Name:</td>
                  <td><input type="text" class="large-field" value="" name="lastname"></td>
                </tr>
                <tr>
                  <td>Company:</td>
                  <td><input type="text" class="large-field" value="" name="company"></td>
                </tr>
                <tr>
                  <td> Company ID:</td>
                  <td><input type="text" class="large-field" value="" name="company_id"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Address 1:</td>
                  <td><input type="text" class="large-field" value="" name="address_1"></td>
                </tr>
                <tr>
                  <td>Address 2:</td>
                  <td><input type="text" class="large-field" value="" name="address_2"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> City:</td>
                  <td><input type="text" class="large-field" value="" name="city"></td>
                </tr>
                <tr>
                  <td><span class="required" id="payment-postcode-required">*</span> Post Code:</td>
                  <td><input type="text" class="large-field" value="" name="postcode"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Country:</td>
                  <td><select class="large-field" name="country_id">
                      <option value=""> --- Please Select --- </option>
                      <option value="244">Aaland Islands</option>
                      <option value="1">Afghanistan</option>
                      <option value="2">Albania</option>
                      <option value="3">Algeria</option>
                      <option value="4">American Samoa</option>
                      <option value="5">Andorra</option>
                      <option value="6">Angola</option>
                      <option value="7">Anguilla</option>
                      <option value="8">Antarctica</option>
                      <option value="9">Antigua and Barbuda</option>
                      <option value="10">Argentina</option>
                      <option value="11">Armenia</option>
                      <option value="12">Aruba</option>
                      <option value="13">Australia</option>
                      <option value="14">Austria</option>
                      <option value="15">Azerbaijan</option>
                      <option value="16">Bahamas</option>
                      <option value="17">Bahrain</option>
                      <option value="18">Bangladesh</option>
                      <option value="19">Barbados</option>
                      <option value="20">Belarus</option>
                      <option value="21">Belgium</option>
                      <option value="22">Belize</option>
                      <option value="23">Benin</option>
                      <option value="24">Bermuda</option>
                      <option value="25">Bhutan</option>
                      <option value="26">Bolivia</option>
                      <option value="245">Bonaire, Sint Eustatius and Saba</option>
                      <option value="27">Bosnia and Herzegovina</option>
                      <option value="28">Botswana</option>
                      <option value="29">Bouvet Island</option>
                      <option value="30">Brazil</option>
                      <option value="31">British Indian Ocean Territory</option>
                      <option value="32">Brunei Darussalam</option>
                      <option value="33">Bulgaria</option>
                      <option value="34">Burkina Faso</option>
                      <option value="35">Burundi</option>
                      <option value="36">Cambodia</option>
                      <option value="37">Cameroon</option>
                      <option value="38">Canada</option>
                      <option value="251">Canary Islands</option>
                      <option value="39">Cape Verde</option>
                      <option value="40">Cayman Islands</option>
                      <option value="41">Central African Republic</option>
                      <option value="42">Chad</option>
                      <option value="43">Chile</option>
                      <option value="44">China</option>
                      <option value="45">Christmas Island</option>
                      <option value="46">Cocos (Keeling) Islands</option>
                      <option value="47">Colombia</option>
                      <option value="48">Comoros</option>
                      <option value="49">Congo</option>
                      <option value="50">Cook Islands</option>
                      <option value="51">Costa Rica</option>
                      <option value="52">Cote D'Ivoire</option>
                      <option value="53">Croatia</option>
                      <option value="54">Cuba</option>
                      <option value="246">Curacao</option>
                      <option value="55">Cyprus</option>
                      <option value="56">Czech Republic</option>
                      <option value="237">Democratic Republic of Congo</option>
                      <option value="57">Denmark</option>
                      <option value="58">Djibouti</option>
                      <option value="59">Dominica</option>
                      <option value="60">Dominican Republic</option>
                      <option value="61">East Timor</option>
                      <option value="62">Ecuador</option>
                      <option value="63">Egypt</option>
                      <option value="64">El Salvador</option>
                      <option value="65">Equatorial Guinea</option>
                      <option value="66">Eritrea</option>
                      <option value="67">Estonia</option>
                      <option value="68">Ethiopia</option>
                      <option value="69">Falkland Islands (Malvinas)</option>
                      <option value="70">Faroe Islands</option>
                      <option value="71">Fiji</option>
                      <option value="72">Finland</option>
                      <option value="74">France, Metropolitan</option>
                      <option value="75">French Guiana</option>
                      <option value="76">French Polynesia</option>
                      <option value="77">French Southern Territories</option>
                      <option value="126">FYROM</option>
                      <option value="78">Gabon</option>
                      <option value="79">Gambia</option>
                      <option value="80">Georgia</option>
                      <option value="81">Germany</option>
                      <option value="82">Ghana</option>
                      <option value="83">Gibraltar</option>
                      <option value="84">Greece</option>
                      <option value="85">Greenland</option>
                      <option value="86">Grenada</option>
                      <option value="87">Guadeloupe</option>
                      <option value="88">Guam</option>
                      <option value="89">Guatemala</option>
                      <option value="241">Guernsey</option>
                      <option value="90">Guinea</option>
                      <option value="91">Guinea-Bissau</option>
                      <option value="92">Guyana</option>
                      <option value="93">Haiti</option>
                      <option value="94">Heard and Mc Donald Islands</option>
                      <option value="95">Honduras</option>
                      <option value="96">Hong Kong</option>
                      <option value="97">Hungary</option>
                      <option value="98">Iceland</option>
                      <option value="99">India</option>
                      <option value="100">Indonesia</option>
                      <option value="101">Iran (Islamic Republic of)</option>
                      <option value="102">Iraq</option>
                      <option value="103">Ireland</option>
                      <option value="104">Israel</option>
                      <option value="105">Italy</option>
                      <option value="106">Jamaica</option>
                      <option value="107">Japan</option>
                      <option value="240">Jersey</option>
                      <option value="108">Jordan</option>
                      <option value="109">Kazakhstan</option>
                      <option value="110">Kenya</option>
                      <option value="111">Kiribati</option>
                      <option value="113">Korea, Republic of</option>
                      <option value="114">Kuwait</option>
                      <option value="115">Kyrgyzstan</option>
                      <option value="116">Lao People's Democratic Republic</option>
                      <option value="117">Latvia</option>
                      <option value="118">Lebanon</option>
                      <option value="119">Lesotho</option>
                      <option value="120">Liberia</option>
                      <option value="121">Libyan Arab Jamahiriya</option>
                      <option value="122">Liechtenstein</option>
                      <option value="123">Lithuania</option>
                      <option value="124">Luxembourg</option>
                      <option value="125">Macau</option>
                      <option value="127">Madagascar</option>
                      <option value="128">Malawi</option>
                      <option value="129">Malaysia</option>
                      <option value="130">Maldives</option>
                      <option value="131">Mali</option>
                      <option value="132">Malta</option>
                      <option value="133">Marshall Islands</option>
                      <option value="134">Martinique</option>
                      <option value="135">Mauritania</option>
                      <option value="136">Mauritius</option>
                      <option value="137">Mayotte</option>
                      <option value="138">Mexico</option>
                      <option value="139">Micronesia, Federated States of</option>
                      <option value="140">Moldova, Republic of</option>
                      <option value="141">Monaco</option>
                      <option value="142">Mongolia</option>
                      <option value="242">Montenegro</option>
                      <option value="143">Montserrat</option>
                      <option value="144">Morocco</option>
                      <option value="145">Mozambique</option>
                      <option value="146">Myanmar</option>
                      <option value="147">Namibia</option>
                      <option value="148">Nauru</option>
                      <option value="149">Nepal</option>
                      <option value="150">Netherlands</option>
                      <option value="151">Netherlands Antilles</option>
                      <option value="152">New Caledonia</option>
                      <option value="153">New Zealand</option>
                      <option value="154">Nicaragua</option>
                      <option value="155">Niger</option>
                      <option value="156">Nigeria</option>
                      <option value="157">Niue</option>
                      <option value="158">Norfolk Island</option>
                      <option value="112">North Korea</option>
                      <option value="159">Northern Mariana Islands</option>
                      <option value="160">Norway</option>
                      <option value="161">Oman</option>
                      <option value="162">Pakistan</option>
                      <option value="163">Palau</option>
                      <option value="247">Palestinian Territory, Occupied</option>
                      <option value="164">Panama</option>
                      <option value="165">Papua New Guinea</option>
                      <option value="166">Paraguay</option>
                      <option value="167">Peru</option>
                      <option value="168">Philippines</option>
                      <option value="169">Pitcairn</option>
                      <option value="170">Poland</option>
                      <option value="171">Portugal</option>
                      <option value="172">Puerto Rico</option>
                      <option value="173">Qatar</option>
                      <option value="174">Reunion</option>
                      <option value="175">Romania</option>
                      <option value="176">Russian Federation</option>
                      <option value="177">Rwanda</option>
                      <option value="178">Saint Kitts and Nevis</option>
                      <option value="179">Saint Lucia</option>
                      <option value="180">Saint Vincent and the Grenadines</option>
                      <option value="181">Samoa</option>
                      <option value="182">San Marino</option>
                      <option value="183">Sao Tome and Principe</option>
                      <option value="184">Saudi Arabia</option>
                      <option value="185">Senegal</option>
                      <option value="243">Serbia</option>
                      <option value="186">Seychelles</option>
                      <option value="187">Sierra Leone</option>
                      <option value="188">Singapore</option>
                      <option value="189">Slovak Republic</option>
                      <option value="190">Slovenia</option>
                      <option value="191">Solomon Islands</option>
                      <option value="192">Somalia</option>
                      <option value="193">South Africa</option>
                      <option value="194">South Georgia &amp; South Sandwich Islands</option>
                      <option value="248">South Sudan</option>
                      <option value="195">Spain</option>
                      <option value="196">Sri Lanka</option>
                      <option value="249">St. Barthelemy</option>
                      <option value="197">St. Helena</option>
                      <option value="250">St. Martin (French part)</option>
                      <option value="198">St. Pierre and Miquelon</option>
                      <option value="199">Sudan</option>
                      <option value="200">Suriname</option>
                      <option value="201">Svalbard and Jan Mayen Islands</option>
                      <option value="202">Swaziland</option>
                      <option value="203">Sweden</option>
                      <option value="204">Switzerland</option>
                      <option value="205">Syrian Arab Republic</option>
                      <option value="206">Taiwan</option>
                      <option value="207">Tajikistan</option>
                      <option value="208">Tanzania, United Republic of</option>
                      <option value="209">Thailand</option>
                      <option value="210">Togo</option>
                      <option value="211">Tokelau</option>
                      <option value="212">Tonga</option>
                      <option value="213">Trinidad and Tobago</option>
                      <option value="214">Tunisia</option>
                      <option value="215">Turkey</option>
                      <option value="216">Turkmenistan</option>
                      <option value="217">Turks and Caicos Islands</option>
                      <option value="218">Tuvalu</option>
                      <option value="219">Uganda</option>
                      <option value="220">Ukraine</option>
                      <option value="221">United Arab Emirates</option>
                      <option selected="selected" value="222">United Kingdom</option>
                      <option value="223">United States</option>
                      <option value="224">United States Minor Outlying Islands</option>
                      <option value="225">Uruguay</option>
                      <option value="226">Uzbekistan</option>
                      <option value="227">Vanuatu</option>
                      <option value="228">Vatican City State (Holy See)</option>
                      <option value="229">Venezuela</option>
                      <option value="230">Viet Nam</option>
                      <option value="231">Virgin Islands (British)</option>
                      <option value="232">Virgin Islands (U.S.)</option>
                      <option value="233">Wallis and Futuna Islands</option>
                      <option value="234">Western Sahara</option>
                      <option value="235">Yemen</option>
                      <option value="238">Zambia</option>
                      <option value="239">Zimbabwe</option>
                    </select></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Region / State:</td>
                  <td><select class="large-field" name="zone_id">
                      <option value=""> --- Please Select --- </option>
                      <option value="3513">Aberdeen</option>
                      <option value="3514">Aberdeenshire</option>
                      <option value="3515">Anglesey</option>
                      <option value="3516">Angus</option>
                      <option value="3517">Argyll and Bute</option>
                      <option value="3518">Bedfordshire</option>
                      <option value="3519">Berkshire</option>
                      <option value="3520">Blaenau Gwent</option>
                      <option value="3521">Bridgend</option>
                      <option value="3522">Bristol</option>
                      <option value="3523">Buckinghamshire</option>
                      <option value="3524">Caerphilly</option>
                      <option value="3525">Cambridgeshire</option>
                      <option value="3526">Cardiff</option>
                      <option value="3527">Carmarthenshire</option>
                      <option value="3528">Ceredigion</option>
                      <option value="3529">Cheshire</option>
                      <option value="3530">Clackmannanshire</option>
                      <option value="3531">Conwy</option>
                      <option value="3532">Cornwall</option>
                      <option value="3949">County Antrim</option>
                      <option value="3950">County Armagh</option>
                      <option value="3951">County Down</option>
                      <option value="3952">County Fermanagh</option>
                      <option value="3953">County Londonderry</option>
                      <option value="3954">County Tyrone</option>
                      <option value="3955">Cumbria</option>
                      <option value="3533">Denbighshire</option>
                      <option value="3534">Derbyshire</option>
                      <option value="3535">Devon</option>
                      <option value="3536">Dorset</option>
                      <option value="3537">Dumfries and Galloway</option>
                      <option value="3538">Dundee</option>
                      <option value="3539">Durham</option>
                      <option value="3540">East Ayrshire</option>
                      <option value="3541">East Dunbartonshire</option>
                      <option value="3542">East Lothian</option>
                      <option value="3543">East Renfrewshire</option>
                      <option value="3544">East Riding of Yorkshire</option>
                      <option value="3545">East Sussex</option>
                      <option value="3546">Edinburgh</option>
                      <option value="3547">Essex</option>
                      <option value="3548">Falkirk</option>
                      <option value="3549">Fife</option>
                      <option value="3550">Flintshire</option>
                      <option value="3551">Glasgow</option>
                      <option value="3552">Gloucestershire</option>
                      <option value="3553">Greater London</option>
                      <option value="3554">Greater Manchester</option>
                      <option value="3555">Gwynedd</option>
                      <option value="3556">Hampshire</option>
                      <option value="3557">Herefordshire</option>
                      <option value="3558">Hertfordshire</option>
                      <option value="3559">Highlands</option>
                      <option value="3560">Inverclyde</option>
                      <option value="3972">Isle of Man</option>
                      <option value="3561">Isle of Wight</option>
                      <option value="3562">Kent</option>
                      <option value="3563">Lancashire</option>
                      <option value="3564">Leicestershire</option>
                      <option value="3565">Lincolnshire</option>
                      <option value="3566">Merseyside</option>
                      <option value="3567">Merthyr Tydfil</option>
                      <option value="3568">Midlothian</option>
                      <option value="3569">Monmouthshire</option>
                      <option value="3570">Moray</option>
                      <option value="3571">Neath Port Talbot</option>
                      <option value="3572">Newport</option>
                      <option value="3573">Norfolk</option>
                      <option value="3574">North Ayrshire</option>
                      <option value="3575">North Lanarkshire</option>
                      <option value="3576">North Yorkshire</option>
                      <option value="3577">Northamptonshire</option>
                      <option value="3578">Northumberland</option>
                      <option value="3579">Nottinghamshire</option>
                      <option value="3580">Orkney Islands</option>
                      <option value="3581">Oxfordshire</option>
                      <option value="3582">Pembrokeshire</option>
                      <option value="3583">Perth and Kinross</option>
                      <option value="3584">Powys</option>
                      <option value="3585">Renfrewshire</option>
                      <option value="3586">Rhondda Cynon Taff</option>
                      <option value="3587">Rutland</option>
                      <option value="3588">Scottish Borders</option>
                      <option value="3589">Shetland Islands</option>
                      <option value="3590">Shropshire</option>
                      <option value="3591">Somerset</option>
                      <option value="3592">South Ayrshire</option>
                      <option value="3593">South Lanarkshire</option>
                      <option value="3594">South Yorkshire</option>
                      <option value="3595">Staffordshire</option>
                      <option value="3596">Stirling</option>
                      <option value="3597">Suffolk</option>
                      <option value="3598">Surrey</option>
                      <option value="3599">Swansea</option>
                      <option value="3600">Torfaen</option>
                      <option value="3601">Tyne and Wear</option>
                      <option value="3602">Vale of Glamorgan</option>
                      <option value="3603">Warwickshire</option>
                      <option value="3604">West Dunbartonshire</option>
                      <option value="3605">West Lothian</option>
                      <option value="3606">West Midlands</option>
                      <option value="3607">West Sussex</option>
                      <option value="3608">West Yorkshire</option>
                      <option value="3609">Western Isles</option>
                      <option value="3610">Wiltshire</option>
                      <option value="3611">Worcestershire</option>
                      <option value="3612">Wrexham</option>
                    </select></td>
                </tr>
              </tbody>
            </table>
            <div class="buttons">
              <div class="right">
                <input type="button" class="button" id="button-payment-address" value="Continue">
              </div>
            </div>
          </div>
        </div>
        <div class="checkout">
          <div class="checkout-heading">Step 3: Shipping Details</div>
          <div class="checkout-content">
            <table class="form">
              <tbody>
                <tr>
                  <td><span class="required">*</span> First Name:</td>
                  <td><input type="text" class="large-field" value="" name="firstname"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Last Name:</td>
                  <td><input type="text" class="large-field" value="" name="lastname"></td>
                </tr>
                <tr>
                  <td>Company:</td>
                  <td><input type="text" class="large-field" value="" name="company"></td>
                </tr>
                <tr>
                  <td> Company ID:</td>
                  <td><input type="text" class="large-field" value="" name="company_id"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Address 1:</td>
                  <td><input type="text" class="large-field" value="" name="address_1"></td>
                </tr>
                <tr>
                  <td>Address 2:</td>
                  <td><input type="text" class="large-field" value="" name="address_2"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> City:</td>
                  <td><input type="text" class="large-field" value="" name="city"></td>
                </tr>
                <tr>
                  <td><span class="required" id="payment-postcode-required">*</span> Post Code:</td>
                  <td><input type="text" class="large-field" value="" name="postcode"></td>
                </tr>
                <tr>
                  <td><span class="required">*</span> Country:</td>
                  <td><select class="large-field" name="country_id">
                      <option value=""> --- Please Select --- </option>
                      <option value="244">Aaland Islands</option>
                      <option value="1">Afghanistan</option>
                      <option value="2">Albania</option>
                      <option value="3">Algeria</option>
                      <option value="4">American Samoa</option>
                      <option value="5">Andorra</option>
                      <option value="6">Angola</option>
                      <option value="7">Anguilla</option>
                      <option value="8">Antarctica</option>
                      <option value="9">Antigua and Barbuda</option>
                      <option value="10">Argentina</option>
                      <option value="11">Armenia</option>
                      <option value="12">Aruba</option>
                      <option value="13">Australia</option>
                      <option value="14">Austria</option>
                      <option value="15">Azerbaijan</option>
                      <option value="16">Bahamas</option>
                      <option value="17">Bahrain</option>
                      <option value="18">Bangladesh</option>
                      <option value="19">Barbados</option>
                      <option value="20">Belarus</option>
                      <option value="21">Belgium</option>
                      <option value="22">Belize</option>
                      <option value="23">Benin</option>
                      <option value="24">Bermuda</option>
                      <option value="25">Bhutan</option>
                      <option value="26">Bolivia</option>
                      <option value="245">Bonaire, Sint Eustatius and Saba</option>
                      <option value="27">Bosnia and Herzegovina</option>
                      <option value="28">Botswana</option>
                      <option value="29">Bouvet Island</option>
                      <option value="30">Brazil</option>
                      <option value="31">British Indian Ocean Territory</option>
                      <option value="32">Brunei Darussalam</option>
                      <option value="33">Bulgaria</option>
                      <option value="34">Burkina Faso</option>
                      <option value="35">Burundi</option>
                      <option value="36">Cambodia</option>
                      <option value="37">Cameroon</option>
                      <option value="38">Canada</option>
                      <option value="251">Canary Islands</option>
                      <option value="39">Cape Verde</option>
                      <option value="40">Cayman Islands</option>
                      <option value="41">Central African Republic</option>
                      <option value="42">Chad</option>
                      <option value="43">Chile</option>
                      <option value="44">China</option>
                      <option value="45">Christmas Island</option>
                      <option value="46">Cocos (Keeling) Islands</option>
                      <option value="47">Colombia</option>
                      <option value="48">Comoros</option>
                      <option value="49">Congo</option>
                      <option value="50">Cook Islands</option>
                      <option value="51">Costa Rica</option>
                      <option value="52">Cote D'Ivoire</option>
                      <option value="53">Croatia</option>
                      <option value="54">Cuba</option>
                      <option value="246">Curacao</option>
                      <option value="55">Cyprus</option>
                      <option value="56">Czech Republic</option>
                      <option value="237">Democratic Republic of Congo</option>
                      <option value="57">Denmark</option>
                      <option value="58">Djibouti</option>
                      <option value="59">Dominica</option>
                      <option value="60">Dominican Republic</option>
                      <option value="61">East Timor</option>
                      <option value="62">Ecuador</option>
                      <option value="63">Egypt</option>
                      <option value="64">El Salvador</option>
                      <option value="65">Equatorial Guinea</option>
                      <option value="66">Eritrea</option>
                      <option value="67">Estonia</option>
                      <option value="68">Ethiopia</option>
                      <option value="69">Falkland Islands (Malvinas)</option>
                      <option value="70">Faroe Islands</option>
                      <option value="71">Fiji</option>
                      <option value="72">Finland</option>
                      <option value="74">France, Metropolitan</option>
                      <option value="75">French Guiana</option>
                      <option value="76">French Polynesia</option>
                      <option value="77">French Southern Territories</option>
                      <option value="126">FYROM</option>
                      <option value="78">Gabon</option>
                      <option value="79">Gambia</option>
                      <option value="80">Georgia</option>
                      <option value="81">Germany</option>
                      <option value="82">Ghana</option>
                      <option value="83">Gibraltar</option>
                      <option value="84">Greece</option>
                      <option value="85">Greenland</option>
                      <option value="86">Grenada</option>
                      <option value="87">Guadeloupe</option>
                      <option value="88">Guam</option>
                      <option value="89">Guatemala</option>
                      <option value="241">Guernsey</option>
                      <option value="90">Guinea</option>
                      <option value="91">Guinea-Bissau</option>
                      <option value="92">Guyana</option>
                      <option value="93">Haiti</option>
                      <option value="94">Heard and Mc Donald Islands</option>
                      <option value="95">Honduras</option>
                      <option value="96">Hong Kong</option>
                      <option value="97">Hungary</option>
                      <option value="98">Iceland</option>
                      <option value="99">India</option>
                      <option value="100">Indonesia</option>
                      <option value="101">Iran (Islamic Republic of)</option>
                      <option value="102">Iraq</option>
                      <option value="103">Ireland</option>
                      <option value="104">Israel</option>
                      <option value="105">Italy</option>
                      <option value="106">Jamaica</option>
                      <option value="107">Japan</option>
                      <option value="240">Jersey</option>
                      <option value="108">Jordan</option>
                      <option value="109">Kazakhstan</option>
                      <option value="110">Kenya</option>
                      <option value="111">Kiribati</option>
                      <option value="113">Korea, Republic of</option>
                      <option value="114">Kuwait</option>
                      <option value="115">Kyrgyzstan</option>
                      <option value="116">Lao People's Democratic Republic</option>
                      <option value="117">Latvia</option>
                      <option value="118">Lebanon</option>
                      <option value="119">Lesotho</option>
                      <option value="120">Liberia</option>
                      <option value="121">Libyan Arab Jamahiriya</option>
                      <option value="122">Liechtenstein</option>
                      <option value="123">Lithuania</option>
                      <option value="124">Luxembourg</option>
                      <option value="125">Macau</option>
                      <option value="127">Madagascar</option>
                      <option value="128">Malawi</option>
                      <option value="129">Malaysia</option>
                      <option value="130">Maldives</option>
                      <option value="131">Mali</option>
                      <option value="132">Malta</option>
                      <option value="133">Marshall Islands</option>
                      <option value="134">Martinique</option>
                      <option value="135">Mauritania</option>
                      <option value="136">Mauritius</option>
                      <option value="137">Mayotte</option>
                      <option value="138">Mexico</option>
                      <option value="139">Micronesia, Federated States of</option>
                      <option value="140">Moldova, Republic of</option>
                      <option value="141">Monaco</option>
                      <option value="142">Mongolia</option>
                      <option value="242">Montenegro</option>
                      <option value="143">Montserrat</option>
                      <option value="144">Morocco</option>
                      <option value="145">Mozambique</option>
                      <option value="146">Myanmar</option>
                      <option value="147">Namibia</option>
                      <option value="148">Nauru</option>
                      <option value="149">Nepal</option>
                      <option value="150">Netherlands</option>
                      <option value="151">Netherlands Antilles</option>
                      <option value="152">New Caledonia</option>
                      <option value="153">New Zealand</option>
                      <option value="154">Nicaragua</option>
                      <option value="155">Niger</option>
                      <option value="156">Nigeria</option>
                      <option value="157">Niue</option>
                      <option value="158">Norfolk Island</option>
                      <option value="112">North Korea</option>
                      <option value="159">Northern Mariana Islands</option>
                      <option value="160">Norway</option>
                      <option value="161">Oman</option>
                      <option value="162">Pakistan</option>
                      <option value="163">Palau</option>
                      <option value="247">Palestinian Territory, Occupied</option>
                      <option value="164">Panama</option>
                      <option value="165">Papua New Guinea</option>
                      <option value="166">Paraguay</option>
                      <option value="167">Peru</option>
                      <option value="168">Philippines</option>
                      <option value="169">Pitcairn</option>
                      <option value="170">Poland</option>
                      <option value="171">Portugal</option>
                      <option value="172">Puerto Rico</option>
                      <option value="173">Qatar</option>
                      <option value="174">Reunion</option>
                      <option value="175">Romania</option>
                      <option value="176">Russian Federation</option>
                      <option value="177">Rwanda</option>
                      <option value="178">Saint Kitts and Nevis</option>
                      <option value="179">Saint Lucia</option>
                      <option value="180">Saint Vincent and the Grenadines</option>
                      <option value="181">Samoa</option>
                      <option value="182">San Marino</option>
                      <option value="183">Sao Tome and Principe</option>
                      <option value="184">Saudi Arabia</option>
                      <option value="185">Senegal</option>
                      <option value="243">Serbia</option>
                      <option value="186">Seychelles</option>
                      <option value="187">Sierra Leone</option>
                      <option value="188">Singapore</option>
                      <option value="189">Slovak Republic</option>
                      <option value="190">Slovenia</option>
                      <option value="191">Solomon Islands</option>
                      <option value="192">Somalia</option>
                      <option value="193">South Africa</option>
                      <option value="194">South Georgia &amp; South Sandwich Islands</option>
                      <option value="248">South Sudan</option>
                      <option value="195">Spain</option>
                      <option value="196">Sri Lanka</option>
                      <option value="249">St. Barthelemy</option>
                      <option value="197">St. Helena</option>
                      <option value="250">St. Martin (French part)</option>
                      <option value="198">St. Pierre and Miquelon</option>
                      <option value="199">Sudan</option>
                      <option value="200">Suriname</option>
                      <option value="201">Svalbard and Jan Mayen Islands</option>
                      <option value="202">Swaziland</option>
                      <option value="203">Sweden</option>
                      <option value="204">Switzerland</option>
                      <option value="205">Syrian Arab Republic</option>
                      <option value="206">Taiwan</option>
                      <option value="207">Tajikistan</option>
                      <option value="208">Tanzania, United Republic of</option>
                      <option value="209">Thailand</option>
                      <option value="210">Togo</option>
                      <option value="211">Tokelau</option>
                      <option value="212">Tonga</option>
                      <option value="213">Trinidad and Tobago</option>
                      <option value="214">Tunisia</option>
                      <option value="215">Turkey</option>
                      <option value="216">Turkmenistan</option>
                      <option value="217">Turks and Caicos Islands</option>
                      <option value="218">Tuvalu</option>
                      <option value="219">Uganda</option>
                      <option value="220">Ukraine</option>
                      <option value="221">United Arab Emirates</option>
                      <option selected="selected" value="222">United Kingdom</option>
                      <option value="223">United States</option>
                      <option value="224">United States Minor Outlying Islands</option>
                      <option value="225">Uruguay</option>
                      <option value="226">Uzbekistan</option>
                      <option value="227">Vanuatu</option>
                      <option value="228">Vatican City State (Holy See)</option>
                      <option value="229">Venezuela</option>
                      <option value="230">Viet Nam</option>
                      <option value="231">Virgin Islands (British)</option>
                      <option value="232">Virgin Islands (U.S.)</option>
                      <option value="233">Wallis and Futuna Islands</option>
                      <option value="234">Western Sahara</option>
                      <option value="235">Yemen</option>
                      <option value="238">Zambia</option>
                      <option value="239">Zimbabwe</option>
                    </select></td>
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                <tr>
                  <td><span class="required">*</span> Region / State:</td>
                  <td><select class="large-field" name="zone_id">
                      <option value=""> --- Please Select --- </option>
                      <option value="3513">Aberdeen</option>
                      <option value="3514">Aberdeenshire</option>
                      <option value="3515">Anglesey</option>
                      <option value="3516">Angus</option>
                      <option value="3517">Argyll and Bute</option>
                      <option value="3518">Bedfordshire</option>
                      <option value="3519">Berkshire</option>
                      <option value="3520">Blaenau Gwent</option>
                      <option value="3521">Bridgend</option>
                      <option value="3522">Bristol</option>
                      <option value="3523">Buckinghamshire</option>
                      <option value="3524">Caerphilly</option>
                      <option value="3525">Cambridgeshire</option>
                      <option value="3526">Cardiff</option>
                      <option value="3527">Carmarthenshire</option>
                      <option value="3528">Ceredigion</option>
                      <option value="3529">Cheshire</option>
                      <option value="3530">Clackmannanshire</option>
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                      <option value="3949">County Antrim</option>
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                      <option value="3553">Greater London</option>
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                      <option value="3555">Gwynedd</option>
                      <option value="3556">Hampshire</option>
                      <option value="3557">Herefordshire</option>
                      <option value="3558">Hertfordshire</option>
                      <option value="3559">Highlands</option>
                      <option value="3560">Inverclyde</option>
                      <option value="3972">Isle of Man</option>
                      <option value="3561">Isle of Wight</option>
                      <option value="3562">Kent</option>
                      <option value="3563">Lancashire</option>
                      <option value="3564">Leicestershire</option>
                      <option value="3565">Lincolnshire</option>
                      <option value="3566">Merseyside</option>
                      <option value="3567">Merthyr Tydfil</option>
                      <option value="3568">Midlothian</option>
                      <option value="3569">Monmouthshire</option>
                      <option value="3570">Moray</option>
                      <option value="3571">Neath Port Talbot</option>
                      <option value="3572">Newport</option>
                      <option value="3573">Norfolk</option>
                      <option value="3574">North Ayrshire</option>
                      <option value="3575">North Lanarkshire</option>
                      <option value="3576">North Yorkshire</option>
                      <option value="3577">Northamptonshire</option>
                      <option value="3578">Northumberland</option>
                      <option value="3579">Nottinghamshire</option>
                      <option value="3580">Orkney Islands</option>
                      <option value="3581">Oxfordshire</option>
                      <option value="3582">Pembrokeshire</option>
                      <option value="3583">Perth and Kinross</option>
                      <option value="3584">Powys</option>
                      <option value="3585">Renfrewshire</option>
                      <option value="3586">Rhondda Cynon Taff</option>
                      <option value="3587">Rutland</option>
                      <option value="3588">Scottish Borders</option>
                      <option value="3589">Shetland Islands</option>
                      <option value="3590">Shropshire</option>
                      <option value="3591">Somerset</option>
                      <option value="3592">South Ayrshire</option>
                      <option value="3593">South Lanarkshire</option>
                      <option value="3594">South Yorkshire</option>
                      <option value="3595">Staffordshire</option>
                      <option value="3596">Stirling</option>
                      <option value="3597">Suffolk</option>
                      <option value="3598">Surrey</option>
                      <option value="3599">Swansea</option>
                      <option value="3600">Torfaen</option>
                      <option value="3601">Tyne and Wear</option>
                      <option value="3602">Vale of Glamorgan</option>
                      <option value="3603">Warwickshire</option>
                      <option value="3604">West Dunbartonshire</option>
                      <option value="3605">West Lothian</option>
                      <option value="3606">West Midlands</option>
                      <option value="3607">West Sussex</option>
                      <option value="3608">West Yorkshire</option>
                      <option value="3609">Western Isles</option>
                      <option value="3610">Wiltshire</option>
                      <option value="3611">Worcestershire</option>
                      <option value="3612">Wrexham</option>
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                    <td class="name"><a href="#">Canon EOS 5D</a></td>
                    <td class="model">Product 3</td>
                    <td class="quantity">1</td>
                    <td class="price">£61.33</td>
                    <td class="total">£61.33</td>
                  </tr>
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                <tfoot>
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                    <td class="price" colspan="4"><b>Sub-Total:</b></td>
                    <td class="total">£51.11</td>
                  </tr>
                  <tr>
                    <td class="price" colspan="4"><b>Flat Shipping Rate:</b></td>
                    <td class="total">£3.19</td>
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                  <tr>
                    <td class="price" colspan="4"><b>Total:</b></td>
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